Credentialing Services That Save You Time and Frustration

Get rid of your credentialing woes and get enrolled with great efficiency

RCM Centric’s Physicians Credentialing Service is a crucial step to avoid delayed submission of healthcare claims, crossing filing limits, wastage of time and loss of revenue. Credentialing process is managed by our experienced team that help you navigate the process of provider enrollment and MD credentialing.

WHY IS CREDENTIALING IMPORTANT?

Medical credentialing is important because the process offers patients a chance to confidently trust their selected physicians. It means providers are vetted for their education, degrees, work history, behavior, and other legalities before they become part of a payer network. Similarly, before a provider joins an organization, hospital, or surgery center, their documents and degrees are verified by a credentialing entity.

Often discussed along with medical credentialing is the process of enrollment. It is the process of applying to the insurance network to be included in their panel of providers.

Our Medical Credentialing Services Include:

Credentialing & Re-credentialing

We obtain eligibility verification from insurance companies prior to the patient’s appointment. This ensures that there are no insurance denials.

Dedicated Team

A team that completes the credentialing details and submits it to commercial Insurances, Medicare and Medicaid, as requested by healthcare physicians.

Compliance

Our Credentialing Services ensure compliance with the National Committee for Quality Assurance (NCQA) and the Department of Health and Family Services (DHFS.

Crucial Follow Ups

Our medical billing and credentialing services ensure that all follow-ups are performed properly for a smooth enrollment.

Portal Registrations

Create and update CAQH & PECOS credentialing portals, Insurance portals and web logins for providers.

Contracting Issues

We resolve contracting issues, address issues, verifications, credentialing requirements and detailed reports of coverage.

Data Integrity

We integrate data between insurance and practice or in a billing software. Our IT team have ability to integrate all data accurate.

Updates or Changes

Our medical credentialing team can update or change your information for credentialing or re-credentialing.

Start today & get enrolled for free!

Get your first free application process for credentialing. Start your practice with our assistance without paying any setup charges or any cost other than our service fee.